Individual
JORDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(612) 293-7822
(630) 509-4420
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14624
MN
Other
Enumeration date
09/23/2021
Last updated
10/06/2023
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